Looking for a Florida Department Of Revenue Forms And Templates? Download it for free!

Form Dr-1s - Registration Application For Secondhand Dealers And/or Secondary Metals Recyclers Page 2

DR-1S

R. 07/12

Page 2

Registration Application for Secondhand Dealers

and/or Secondary Metals Recyclers

This application is for a:

This application is for a (check one):

Secondhand Dealer

New business

Additional business location

Mail-in Secondhand Dealer

List current secondhand dealer registration number

Secondary Metals Recycler

–

3. Legal name of corporation, individual owner, limited liability company, partnership,

Owner’s telephone number:

or other:

(

)

Business telephone number:

4. Trade, fictitious, or “doing business as” name (if different than #3):

(

)

5. Physical address of business. Home-based businesses must provide your home address.

Fax number:

Listing a post office box, private mailbox, or rural route number is not permitted.

(

)

Street:

City/State/ZIP:

County:

6. Contact name (business owner or designee):

Contact telephone number:

(

)

Mailing address (if different than physical address):

Street:

City/State/ZIP:

E-mail address:

Your e-mail address is treated as confidential information (s. 213.053, F.S.), and is

not subject to disclosure of public records (s. 119.071, F.S.).

List your sales and use tax number (your application cannot be processed without a sales and use tax number):

–

Business Entity Identification Number - Provide the Federal Employer Identification Number (FEIN) of the business or Social

Security Number (SSN) * of the owner/sole proprietor.

(If you are required to have an

–

FEIN but have not yet been

Federal Employer Identification Number (FEIN):

assigned one, you may call the

–

Internal Revenue Service at

Social Security Number (SSN) of owner:

800-829-4933 to request one.)

Social security numbers (SSNs) are used by the Florida Department of Revenue as unique identifiers for the administration of Florida’s taxes. SSNs

obtained for tax administration purposes are confidential under ss. 213.053 and 119.071, F.S., and not subject to disclosure as public records.

Collection of your SSN is authorized under state and federal law. Visit our Internet site at and select “Privacy Notice” for

more information regarding the state and federal law governing the collection, use, or release of SSNs, including authorized exceptions.

FOR DOR USE ONLY

Approved

Denied

By: (User ID)

Date

month

day

year

Business Partner No.

Contract Object (LO)

Form Dr-1s - Registration Application For Secondhand Dealers And/or Secondary Metals Recyclers Page 2

Related Articles

Related forms

Related Categories